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General NPI Number Information
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NPI Number | 1548815681
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Entity Type | Individual
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Provider Name | MIGUEL ANGEL SANTIAGO CRUZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | AVE 65 DE INFANTERIA KM 12.3
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-769-2477
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Fax | 787-276-0065
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Provider Business Mailing Address
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Address Line | PO BOX 190990
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City | SAN JUAN
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State | PR
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Zip | 00919-0990
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Country | US
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Telephone | 787-769-2477
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Fax | 787-276-0065
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number | 24642
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 24642
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License Number State | PR
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